DLA Medical Injury Agreement
Sep 03, 2026 10:58 PM
Dance Loud Academy
Medical & Injury Agreement
2026-2027 Competition Season
1. Purpose and Scope
This Medical & Injury Agreement is intended to protect dancers while clarifying family responsibility for injury reporting,
illness, medical clearance, participation limits, return-to-dance decisions, and financial obligations.
2. Assumption of Risk
Dance, acrobatics, conditioning, stretching, rehearsals, performances, competitions, conventions, travel events, and
related activities involve risk of injury. Parents and dancers acknowledge that injuries may occur even when reasonable
care is used.
• Risks may include sprains, strains, falls, bruises, fractures, overuse injuries, concussions, heat-related illness, allergic
reactions, and other physical injury.
• Participation is voluntary and the parent/guardian assumes responsibility for determining whether the dancer is
physically able to participate.
3. Injury and Illness Reporting
All injuries, illnesses, limitations, pain complaints, physician restrictions, concussions, suspected concussions, surgeries,
hospitalizations, or medical concerns must be reported promptly to Dance Loud Academy leadership.
• Parents must notify the studio in writing of any restriction that affects participation.
• Dancers should not hide injuries or dance through pain without telling a teacher.
• Parents must update the studio if restrictions change.
• Failure to disclose medical limitations may result in removal from activity for dancer safety.
4. Medical Clearance and Return to Dance
Dance Loud Academy may require written medical clearance before a dancer returns to class, rehearsal, acro, tumbling,
partnering, lifts, competitions, conventions, or performances.
• Medical clearance may be required after injury, surgery, concussion, fainting, significant illness, hospitalization, or
extended absence.
• Dance Loud Academy may require a gradual return-to-dance plan.
• Medical clearance does not guarantee immediate full participation if staff believe the dancer is not ready.
• The Director may limit skills, classes, routines, rehearsals, or performance participation for safety.
5. Concussion and Serious Injury Protocol
If a concussion or serious injury is suspected, Dance Loud Academy may remove the dancer from participation until
medical evaluation and clearance are provided.
• No dancer suspected of a concussion may return the same day unless cleared by an appropriate medical professional
and accepted by the Director.
• Parents are responsible for obtaining evaluation and documentation.
• Return-to-dance may be gradual and subject to studio approval.
6. Illness and Contagious Conditions
Dancers should not attend class, rehearsal, competition, convention, or team events when they are contagious or too ill
to participate safely.
• Dancers with fever, vomiting, contagious illness, severe symptoms, or physician-directed isolation should stay home.
• Parents must notify the studio as soon as possible if illness affects attendance.
• Competition fees and other non-refundable fees remain governed by the Financial Responsibility Agreement.
7. Modified Participation
When appropriate, Dance Loud Academy may allow modified participation, observation, marking choreography,
understudy work, limited skills, or non-performance attendance.
• Modified participation is at the discretion of the Director and staff.
• Observation may be required even when a dancer cannot fully dance.
• Failure to attend approved observation or modified rehearsals may count as an absence.
8. Injury Does Not Automatically Release Financial Obligations
Injury, illness, surgery, medical restrictions, or withdrawal for medical reasons does not automatically release the family
from financial obligations already incurred or committed on behalf of the dancer.
• Costumes already ordered remain due and non-refundable.
• Competition, convention, and nationals fees already submitted or committed remain due and non-refundable.
• Choreography fees remain due once choreography has begun.
• Reblocking fees may apply if the injury requires choreography changes.
• Any request for contract release or accommodation must be reviewed by the Director.
9. Medical Withdrawal Review
If a family requests release from participation due to injury or illness, the request must be submitted in writing with
medical documentation. Dance Loud Academy may review requests case-by-case.
• Approval is not automatic.
• Dance Loud Academy may offer modified participation instead of release.
• Financial obligations incurred before approval remain due.
• Any approved exception must be in writing.
10. Emergency Care Authorization
In the event of an emergency, Dance Loud Academy staff may contact emergency services and/or the parent/guardian.
Parents are responsible for medical costs, ambulance fees, urgent care, hospital expenses, and related charges.
11. Medication, Allergies, and Special Conditions
Parents are responsible for notifying Dance Loud Academy in writing of allergies, medications, asthma, diabetes,
seizures, EpiPens, inhalers, or other relevant medical needs.
• Dance Loud Academy does not guarantee administration of medication unless separately agreed in writing.
• Parents should provide clear emergency instructions when needed.
• Parents are responsible for ensuring dancers have required medical supplies at competitions and travel events.
12. Consequences for Non-Disclosure
Failure to disclose medical restrictions, injury, illness, or limitations may result in removal from classes, rehearsals,
competitions, or team activities for safety reasons. Financial obligations remain due under applicable agreements.
Parent and Dancer Initial Acknowledgements
_____ I understand dance involves risk of injury.
_____ I agree to report injuries, illnesses, concussions, surgeries, restrictions, or medical concerns promptly.
_____ I understand Dance Loud Academy may require medical clearance before return to participation.
_____ I understand injury or illness does not automatically release financial obligations already incurred.
_____ I understand modified participation or observation may be required.
_____ I authorize Dance Loud Academy to seek emergency assistance if needed.
Medical Information
Known allergies: ________________________________________________
Medical conditions/restrictions: __________________________________
Emergency contact: ______________________________________________
Emergency phone: ________________________________________________
Preferred hospital/doctor, if any: ________________________________
Dancer Name:
____________________________________________
Dancer Signature: ____________________________________________
Date:
____________________________________________
Parent/Guardian Name:
____________________________________________
Parent/Guardian Signature: ____________________________________________
Date:
____________________________________________
Phone:
____________________________________________
Email:
____________________________________________